Aprendiendo a vivir con el dolor invisible: la terapia de aceptación y compromiso en la fribromialgia
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2020-07-01
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Jaén: Universidad de Jaén
Resumen
La fibromialgia (FM) se engloba en el espectro de las enfermedades reumáticas. Este síndrome está determinado principalmente por dolor musculoesquelético generalizado, seguido de una complicada sintomatología que abarca trastornos del sueño, fatiga intensa, disminución del umbral del dolor y alteración en el ámbito psicológico y afectivo. La conducta de la población afectada principalmente ha buscado el control del dolor, y en ello ha centrado sus esfuerzos la terapia Cognitivo Conductual (CBT) en base a la creencia de que las técnicas de control del dolor no alteran sustancialmente la vida de la persona. Esta terapia evolucionó a la terapia de Aceptación y Compromiso (ACT). ACT, más que focalizarse en el ámbito cognitivo, incluye el análisis funcional de la conducta y el contexto vital de la persona, donde el principal objetivo terapéutico es permitir la convivencia de su sintomatología con el logro de proyectos vitales y actividades diarias de los pacientes.
Fibromyalgia is encompassed in the spectrum of rheumatic diseases. This syndrome is mainly determined by the widespread of musculoskeletal pain, followed by a complicated symptomatology that encompasses sleep disorders, severe fatigue, a decrease in the pain threshold and an alteration in the psychological and affective field. The behavior of the affected population has mainly sought pain control, and in this the Cognitive behavioral therapy (CBT) has focused its efforts on, based on the belief that pain management techniques do not substantially alter a person ́s life. This therapy evolved into the Acceptance and Commitment Therapy (ACT) which, rather than focusing on the cognitive field, includes functional analysis of the person's behavior and the vital context, where the main therapeutic objective is to enable the coexistence of the person ́s symptomatology with both, the achievement of his or her vital projects and his or her daily activities.
Fibromyalgia is encompassed in the spectrum of rheumatic diseases. This syndrome is mainly determined by the widespread of musculoskeletal pain, followed by a complicated symptomatology that encompasses sleep disorders, severe fatigue, a decrease in the pain threshold and an alteration in the psychological and affective field. The behavior of the affected population has mainly sought pain control, and in this the Cognitive behavioral therapy (CBT) has focused its efforts on, based on the belief that pain management techniques do not substantially alter a person ́s life. This therapy evolved into the Acceptance and Commitment Therapy (ACT) which, rather than focusing on the cognitive field, includes functional analysis of the person's behavior and the vital context, where the main therapeutic objective is to enable the coexistence of the person ́s symptomatology with both, the achievement of his or her vital projects and his or her daily activities.